HomeMy WebLinkAbout0132158-HVAC (furnace) CITY OF OSHKOSH No 132158
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 GEORGIA ST Owner .GERALD W/MARIE A BLACK Create Date 08/11/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating 8~ Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature FR /Replace furnace. EIV signed by Slim's Electric. **debit acct _
of Work
Fees: Valuation $3,790.00 Plan Approval $0.00 Permit Fee Paid
Issued By: (/~
$67.00
Date 08/11/2008
^ Permit Voided
Parcel Id # 1306140000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
White the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgentlOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530
i
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
AUG-08-2008 02;53 PM
C it~~ of t~sh);osh
]" c, (~)''p) 2,6 505(`
P, 03/11
'~ ~~ -~
~~•,
_~•--
Fax'i (9ZU) 236-5034 ~ I ~~H~~I f~l
~.-
G'N 1..~ +~JnTFF
HVAC PEf~MIT APPLICATION
All information after bold cetcgoric,s must be pro~~idec.
Inco,„plete applications Hill not be p~•ocessed.
o A p~~lieation(s) and .fee(s) can be brou~bt tc Cite }Tall; Room ?U er mailrtl ]c~ li;spe~ction ;ea•t•ieC~, PU lax i 1 ~8;
Oshkosh WI 54903-] 1.28. C.ommencine work ~•thout p~rniit(~) +>~ill, result ;~~ fe:e5 beine ci~n!l~led ar ~;l OU.OQ I)lus lho
normal permit fee, ~a~hich ever is greater.
If }~Q,Z,~ crre,c cp,U~ cl,or•parlicipu!!!~P JJ?_Ihe P~r,noi.{,1c:e_9ccc>u~~* ,S~_s~em n~zd hc~~~e nd_.n~r_^.r~_Li.raa,cls,_rhecd' i~t.re
_i~nt.~ r~~nr~r rhis_process~tr Ih-•o~,~h ~,aur: accnurTr_•(~]
** A,d~visoxy -Tor applicable projects, an Elecri•ical I~istal.lat%on Verification (F1V) form., signed b5• the klectriGa]
Contt•actor or Y~onieowner (frir i.iistallataorts allowed 1:o be perfonxted IT,' tlao honieati•~ner) ivttst be submitted
with the permit application, Applications sub7ztitted without ~n Ei~' when such. is t•egt1ixed, vti'i]I not be
processed far Permit Tssuat~ce and ~~i11 be z'etnrned for completion.
DATE "~ %' ~
-~~' ~
JUB ADDRESS /: a.C~~ (s-t.ur~~., tR ! ..,_,,..
OWNER ~'1a.••-i~c• (~ IC.<<Cc_ _._._.
CONTRACTOR ~~-tM ~,~,Ir-,~, _.,
CHECK m ALL APPLICABLE
USE CATEGORY
ngle Family ^Duplex QMulti-Family
FUEL Comas ^Flectric ^Snlid
^Oil DSolar
TXP~
Q or~ed Air ^Radivtt DSteam DA/C pVent
^kent.al GC:on~r~tercia] Olndustsial
SYSTE117 ONew [lace
C1Qther •_ _
^Llectric ^~lot Vb'ater ^Suppl. ^C:ou. Burner
IS CHIMNEY BEING LIKED Colo [.7Yes - LL'~1bR SIZE,_w__,_~_~~ & 1vLANliFAGTU~F~ER
Note: All chimneys shall be sized per the $TU'c being vented,
CHIMNEY TYPE DChimney A
FEAT LUSS DAs Approvt;d
DTU RATL• ^As Per Plan
DESCRIPTION /SCOPE OF ALL '~~~
C7Chimriey B CA~irec] Vent ^Other
G]E4istutg ^Not Applicable
DVarial7le Ca0'.fier Value __~~'yi ~~ ~'°r~'
r
ORK BITING DONE~_M._ ~T t~•~, u.~..~ -ti,-~'• •f~ ~-•,~ f~
'mac;
VALUE (including labor and materials) S ~ ~~`.~t'>~ „~__.~,._
ELECTRICAL CO1~T.RACTOR (for projects not req-iirir,g an ~I~` Form) ~~rr, S ~ ~r ~ 1r=~ ~ •
o~iu-1
AUG-08-2008 02 53 PM
x-.,.
~ ~
7l f C1~eq Arw~
}Q HOa 11]0
pUYri WI l~9Qf•! 134
nano. nauaao'e
Fa i20-J~6~lON
Electric Inatallxtiior Veriflcntion
t(we) SLIM'S ELECTRIC INC.
(fiiacaricat Coot:acwr I~Tame)
P. 04/ 11
Circle Oshkosh WI 54904
(Address) (City) (3tate) (Zip
have bean contracted to perfoan electric ittatelladoa work for ~rl'~!a Xy,e~ ~~~
(Name of patty conmacted to)
at the following address: ! a~-3 ~1r ~
(Addrena work will be pedorraod)
The aatun of the work consists of: (Check One: or Describe the Naturo of Work)
,, ~ ReCUtgle~tion or nepv circuit for replacement Heating Plant and/or A/iC Condanier.
Rocot3noctiob or new circuit for replacement fslectric Wster Heater or power vented
water heater.
Reeonnectiot- of the Service Entrance Gb1e, Metcor Boa. alteratias-s to roceptacles
and lighting fi~twr+ea dtu to siding / sol~it instatleRion Note: New Service
Enhance Cables will require s saparatt+ permit.
Roaonnection or haw circuit for then t~oplaceaneatt of ot><err petmanontly wired
appliances) 6xtuzes.
New circuit !bc the ad4ition of A/C to an lndtvtd3m/ dwelling e~rtlr (house! or the
individual systems in a duplex or coao4aminium), inchidinR required service
electrical outlets.
Other
The; value of this work is S_..~,~~
1 hereby verify this wmk wi11 be petfarmed by att er~aployeG of Ibis ooro~ny and fitrtber verify
the recontieation / igstatistion will be done. is complisel~x with tnanufacttuxr and Electric code
r~oquiromcnta.
t
d/ .~ ~~! ~Yf ~1 U~
(Sigtiattue of car) , (Print Nema of OfPi
six